HM Has a Smart Answer!
For clients who are looking to reduce their Stop Loss premium and are willing to assume more claim liability, HM offers the Aggregating Specific feature. With the Aggregating Specific feature, the client agrees to accept an amount of additional risk in exchange for the financial advantage of paying lower Stop Loss premiums.
This option is solely a financial arrangement and does not impact employee medical benefits. The Aggregating Specific feature is recommended for clients financially suited to accept additional risk. This feature is available to groups of more than 100 lives, and the minimum premium requirement is $150,000 (before the Aggregating Specific is implemented).
Learn more about how HM’s Aggregating Specific option works and see examples of how it can help lower premiums in the pdf documents attached below.
Stop Loss Aggregating Specific Feature.pdf
New York Stop Loss Aggregating Specific Feature.pdf
HM sets the bar high. HM's commitment to clients begins before a proposal is delivered and continues through underwriting, installation, claims management, medical cost management and renewal.
The numbers speak for themselves.
In 2007 through 2009, HM processed specific stop loss claims in less than 10 business days 99.9% of the time, generated proposals in less than seven business day and had a sold case turnaround time averaging less than 15 business days.
HM’s Stop Loss Operational Performance Report linked below shows the consistency and high accuracy rate of our claims processing.
Stop Loss Operational Performance 2010 Report.pdf
Coverage is underwritten by HM Life Insurance Company, Pittsburgh, PA, or Highmark Casualty Insurance Company, Pittsburgh, PA, under policy form series HL601 or HL904 in all states except New York. In New York, coverage is underwritten by HM Life Insurance Company of New York, New York, NY, under policy form series HL601 or HL904. The coverage or service requested may not be available in all states and is subject to all applicable state and federal laws.
Listen to the Podcast of AM Best's interview with Mike Sullivan, HM President & COO. Mike discusses HM’s approach to Stop Loss and how we deliver Smarter Answers Faster.
Join the HM Expert Exchange on LinkedIn, and let us know what you are hearing about the recent health care legislation and how we can continue to proactively help you address your clients’ concerns.
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